The living scar–cardiac fibroblasts and the injured heart

EA Rog-Zielinska, RA Norris, P Kohl… - Trends in molecular …, 2016 - cell.com
Trends in molecular medicine, 2016cell.com
Cardiac scars, often dubbed 'dead tissue', are very much alive, with heterocellular activity
contributing to the maintenance of structural and mechanical integrity following heart injury.
To form a scar, non-myocytes such as fibroblasts are recruited from intra-and extra-cardiac
sources. Fibroblasts perform important autocrine and paracrine signaling functions. They
also establish mechanical and, as is increasingly evident, electrical junctions with other
cells. While fibroblasts were previously thought to act simply as electrical insulators, they …
Cardiac scars, often dubbed ‘dead tissue', are very much alive, with heterocellular activity contributing to the maintenance of structural and mechanical integrity following heart injury. To form a scar, non-myocytes such as fibroblasts are recruited from intra- and extra-cardiac sources. Fibroblasts perform important autocrine and paracrine signaling functions. They also establish mechanical and, as is increasingly evident, electrical junctions with other cells. While fibroblasts were previously thought to act simply as electrical insulators, they may be electrically connected among themselves and, under some circumstances, to other cells including cardiomyocytes. A better understanding of these biophysical interactions will help to target scar structure and function, and will facilitate the development of novel therapies aimed at modifying scar properties for patient benefit.
cell.com